Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth
Introduction. The aim of this paper was to describe two cases of IAN infection-induced paresthesia and to discuss the most appropriate treatment solutions. Methods. For two patients, periapical lesions that induced IAN paresthesia were revealed. In the first case, the tooth was previously endodontic...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2016/2623507 |
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| author | Rachele Censi Virna Vavassori Andrea Enrico Borgonovo Dino Re |
| author_facet | Rachele Censi Virna Vavassori Andrea Enrico Borgonovo Dino Re |
| author_sort | Rachele Censi |
| collection | DOAJ |
| description | Introduction. The aim of this paper was to describe two cases of IAN infection-induced paresthesia and to discuss the most appropriate treatment solutions. Methods. For two patients, periapical lesions that induced IAN paresthesia were revealed. In the first case, the tooth was previously endodontically treated, whereas in the second case the lesion was due to pulp necrosis. Results. For the first patient, a progressive healing was observed only after the tooth extraction. In the second patient, the paresthesia had resolved after endodontic treatment. Conclusions. The endodontic-related paresthesia is a rare complication that can be the result of a combination of etiopathogenic mechanisms such as mechanical pressure on the nerve fibers due to the expanding infectious process and the production of microbial toxins. Paresthesia resulting from periapical lesions usually subsides through elimination of infection by root canal treatment. However, if there are no signs of enhancement, the immediate extraction of the tooth is the treatment of choice in order to prevent irreversible paresthesia because it was demonstrated that there is a correlation between the duration of mechanical or chemical irritation and the risk of permanent paresthesia. |
| format | Article |
| id | doaj-art-73cee7346ca74d5b8d8205cf82df7397 |
| institution | OA Journals |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-73cee7346ca74d5b8d8205cf82df73972025-08-20T02:06:19ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/26235072623507Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar TeethRachele Censi0Virna Vavassori1Andrea Enrico Borgonovo2Dino Re3Department of Implantology and Periodontology, Istituto Stomatologico Italiano, 20121 Milan, ItalySchool of Oral Surgery, Department of Oral Rehabilitation, Istituto Stomatologico Italiano, University of Milan, Milan, ItalySchool of Oral Surgery, Policlinico, Fondazione IRCCS Cà Granda, University of Milan, Milan, ItalyDepartment of Oral Rehabilitation, Istituto Stomatologico Italiano, 20121 Milan, ItalyIntroduction. The aim of this paper was to describe two cases of IAN infection-induced paresthesia and to discuss the most appropriate treatment solutions. Methods. For two patients, periapical lesions that induced IAN paresthesia were revealed. In the first case, the tooth was previously endodontically treated, whereas in the second case the lesion was due to pulp necrosis. Results. For the first patient, a progressive healing was observed only after the tooth extraction. In the second patient, the paresthesia had resolved after endodontic treatment. Conclusions. The endodontic-related paresthesia is a rare complication that can be the result of a combination of etiopathogenic mechanisms such as mechanical pressure on the nerve fibers due to the expanding infectious process and the production of microbial toxins. Paresthesia resulting from periapical lesions usually subsides through elimination of infection by root canal treatment. However, if there are no signs of enhancement, the immediate extraction of the tooth is the treatment of choice in order to prevent irreversible paresthesia because it was demonstrated that there is a correlation between the duration of mechanical or chemical irritation and the risk of permanent paresthesia.http://dx.doi.org/10.1155/2016/2623507 |
| spellingShingle | Rachele Censi Virna Vavassori Andrea Enrico Borgonovo Dino Re Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth Case Reports in Dentistry |
| title | Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth |
| title_full | Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth |
| title_fullStr | Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth |
| title_full_unstemmed | Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth |
| title_short | Infection Related Inferior Alveolar Nerve Paresthesia in the Lower Premolar Teeth |
| title_sort | infection related inferior alveolar nerve paresthesia in the lower premolar teeth |
| url | http://dx.doi.org/10.1155/2016/2623507 |
| work_keys_str_mv | AT rachelecensi infectionrelatedinferioralveolarnerveparesthesiainthelowerpremolarteeth AT virnavavassori infectionrelatedinferioralveolarnerveparesthesiainthelowerpremolarteeth AT andreaenricoborgonovo infectionrelatedinferioralveolarnerveparesthesiainthelowerpremolarteeth AT dinore infectionrelatedinferioralveolarnerveparesthesiainthelowerpremolarteeth |